General Manager - Commercial Business Segment

Awarded the Best Place to Work 2021, Blue Cross Blue Shield of Arizona helps to fulfill its mission of improving the quality of life of Arizonans by delivering a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

This opportunity requires residency, and work to be performed, within the State of Arizona.

PURPOSE OF THE JOB

· Oversee the profit and loss (P&L) of the Group Business Segment and the Enterprise Specialty Business, including responsibility for strategic planning, product development, plan pricing, compliance, underwriting, marketing and

performance to drive segment growth. Develop and execute strategic and financial plans for all aspects of the customer segment. Requires experience in setting and achieving growth targets, including revenue, cost of care, administrative expense and margin.

REQUIRED QUALIFICATIONS

1. Required Work Experience

· 10 years of health insurance industry experience, specifically focused in finance, business leadership, underwriting,

and/or product development.

· 3 years of experience working with compliance requirements for Group Business Segment.

· 3 years of experience in managing risk pools and experience-rated underwriting principles.

2. Required Education

· BA or BS degree in healthcare administration, business management, or related field

3. Required Licenses

· N/A

4. Required Certifications

· N/A

PREFERRED QUALIFICATIONS

1. Preferred Work Experience

· 15 years of experience in healthcare industry that includes leadership experience, business management, financial

reporting and budgeting, development of strategic plans, and managing large organizations.

2. Preferred Education

· MA or MS in healthcare administration, business management, or related field

3. Preferred Licenses

· N/A

4. Preferred Certifications

· N/A

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

• Manage both the revenue and cost elements of Group and Specialty Business Segment’s income statement / profit and loss responsibility.
• Manage overall performance and productivity for Group and Specialty Business Segments.
• Plan, delegate, coordinate, staff, and make decisions to attain desirable profit making results for Group and Specialty Business Segment.
• Develop Group Business and Specialty Segment strategic plan by studying market conditions, financial opportunities; and corporate objectives.
• Manage overall performance and profit and loss for Specialty business (Dental, Life/DI, Vision, Worker’s Comp, EAP, Stop Loss) for Enterprise, including IU65 and Government segments.
• Identify and analyze risks associated with Group and Specialty Business Segment. Minimize risk of financial loss.
• Achieve target budgets.
• Manage and interpret data for sound decision making.
• Work with actuarial and healthcare economics to forecast risk and liability.
• Determine premium rates for Group Business Segment.
• Ascertain cash reserves necessary to ensure payment of future benefits.
• Oversee day-to-day departmental administration by coaching and motivating managerial staff and departmental personnel to make maximum use of experience and skills.
• Monitor quality performance measures, develop and maintain effective workflows, and maximize system efficiencies.
• Manage use of corporate funds including budgeting, financial management, and reporting. Identify opportunities to achieve administrative efficiencies while maintaining service.
• Maintain effective working relationships to ensure teamwork in achieving corporate goals.
• Participate in strategic planning activities and contribute to departmental and cross-functional teams to achieve BCBSAZ goals and ensure future success.
• Coordinate activities between multiple divisions to achieve desired results.
• Support BCBSAZ’s Core Value of maintaining a heritage of service through community involvement.
• The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
• Perform all other duties as assigned.
• Candidates must reside in AZ and may require local (West Region) travel.

REQUIRED COMPETENCIES

1. Required Job Skills

· Exceptional written and verbal communications

· Ability to communicate with and influence constituents and stakeholders

· Comprehensive knowledge for ACA group benefit plans and state mandates to ensure product and plan compliance

2. Required Professional Competencies

· Comfort in new ventures

· Ability to make decisions

· Collaborative style, coupled with an unwillingness to accept "no" and a natural aptitude for creative solutions

· Ability to quickly identify, troubleshoot, and resolve issues · Ability to forge strong cross-functional relationships with internal stakeholders · Management skills in an operationally changing environment, with drive for results and success of objectives · Strong knowledge of the healthcare industry · Ability to recognize strategic opportunities and use data to make timely and sound decisions · Flexibility and willingness to adjust to shifting demands/priorities · Ability to assimilate multiple new functions, services, projects and systems while maintaining existing systems

3. Required Leadership Experience and Competencies

· High standard of performance while pursuing aggressive goals

· Principled leadership and sound business ethics

PREFERRED COMPETENCIES

1. Preferred Job Skills

· N/A

2. Preferred Professional Competencies

· N/A

3. Preferred Leadership Experience and Competencies

· N/A

Our Commitment

BCBSAZ does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona.  For more information on our company, see azblue.com.  If interested in this position, please apply.